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		<form action="https://docs.google.com/a/talkin.cc/spreadsheet/formResponse?formkey=dFNVckZxMi0xOUxpY1Z4aFp3ZjVSQWc6MQ&amp;theme=0AX42CRMsmRFbUy0xOGQxNWI3Yi01NzQzLTQ1ZjUtOTk4OS1kODRlZWIwNjMxZTU&amp;ifq" method="POST" id="ss-form">


			<br>
			<div class="errorbox-good">
			<div class="ss-item  ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_0">搭乘路線
			</label>
			<label class="ss-q-help" for="entry_0"></label>
			<input type="text" name="entry.0.single" value="" class="ss-q-short" id="entry_0"></div></div></div>
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			<div class="ss-item  ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_1">搭乘車號
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			<input type="text" name="entry.1.single" value="" class="ss-q-short" id="entry_1"></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_2">搭乘日期
			</label>
			<label class="ss-q-help" for="entry_2"></label>
			<input type="text" name="entry.2.single" value="" class="ss-q-short" id="entry_2"></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_27">所在位置
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			<input type="text" name="entry.27.single" value="" class="ss-q-short" id="entry_27"></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-section-header"><div class="ss-form-entry"><h2 class="ss-section-title">服務品質調查題項</h2>
			<div class="ss-section-description ss-no-ignore-whitespace"></div>
			</div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-scale"><div class="ss-form-entry"><label class="ss-q-title" for="entry_6">車身清潔
			</label>
			<label class="ss-q-help" for="entry_6"></label>
			<table border="0" cellpadding="5" cellspacing="0"><tbody><tr><td class="ss-scalenumbers"></td>
			<td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_6_1">1</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_6_2">2</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_6_3">3</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_6_4">4</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_6_5">5</label></td>
			<td class="ss-scalenumbers"></td></tr>
			<tr><td class="ss-scalerow ss-leftlabel">非常滿意</td>
			<td class="ss-scalerow"><input type="radio" name="entry.6.group" value="1" class="ss-q-radio" id="group_6_1"></td> <td class="ss-scalerow"><input type="radio" name="entry.6.group" value="2" class="ss-q-radio" id="group_6_2"></td> <td class="ss-scalerow"><input type="radio" name="entry.6.group" value="3" class="ss-q-radio" id="group_6_3"></td> <td class="ss-scalerow"><input type="radio" name="entry.6.group" value="4" class="ss-q-radio" id="group_6_4"></td> <td class="ss-scalerow"><input type="radio" name="entry.6.group" value="5" class="ss-q-radio" id="group_6_5"></td>
			<td class="ss-scalerow ss-rightlabel">非常不滿意</td></tr></tbody></table></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-scale"><div class="ss-form-entry"><label class="ss-q-title" for="entry_7">車輛內部清潔
			</label>
			<label class="ss-q-help" for="entry_7"></label>
			<table border="0" cellpadding="5" cellspacing="0"><tbody><tr><td class="ss-scalenumbers"></td>
			<td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_7_1">1</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_7_2">2</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_7_3">3</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_7_4">4</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_7_5">5</label></td>
			<td class="ss-scalenumbers"></td></tr>
			<tr><td class="ss-scalerow ss-leftlabel">非常滿意</td>
			<td class="ss-scalerow"><input type="radio" name="entry.7.group" value="1" class="ss-q-radio" id="group_7_1"></td> <td class="ss-scalerow"><input type="radio" name="entry.7.group" value="2" class="ss-q-radio" id="group_7_2"></td> <td class="ss-scalerow"><input type="radio" name="entry.7.group" value="3" class="ss-q-radio" id="group_7_3"></td> <td class="ss-scalerow"><input type="radio" name="entry.7.group" value="4" class="ss-q-radio" id="group_7_4"></td> <td class="ss-scalerow"><input type="radio" name="entry.7.group" value="5" class="ss-q-radio" id="group_7_5"></td>
			<td class="ss-scalerow ss-rightlabel">非常不滿意</td></tr></tbody></table></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-scale"><div class="ss-form-entry"><label class="ss-q-title" for="entry_8">車內資訊提供
			</label>
			<label class="ss-q-help" for="entry_8"></label>
			<table border="0" cellpadding="5" cellspacing="0"><tbody><tr><td class="ss-scalenumbers"></td>
			<td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_8_1">1</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_8_2">2</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_8_3">3</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_8_4">4</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_8_5">5</label></td>
			<td class="ss-scalenumbers"></td></tr>
			<tr><td class="ss-scalerow ss-leftlabel">非常滿意</td>
			<td class="ss-scalerow"><input type="radio" name="entry.8.group" value="1" class="ss-q-radio" id="group_8_1"></td> <td class="ss-scalerow"><input type="radio" name="entry.8.group" value="2" class="ss-q-radio" id="group_8_2"></td> <td class="ss-scalerow"><input type="radio" name="entry.8.group" value="3" class="ss-q-radio" id="group_8_3"></td> <td class="ss-scalerow"><input type="radio" name="entry.8.group" value="4" class="ss-q-radio" id="group_8_4"></td> <td class="ss-scalerow"><input type="radio" name="entry.8.group" value="5" class="ss-q-radio" id="group_8_5"></td>
			<td class="ss-scalerow ss-rightlabel">非常不滿意</td></tr></tbody></table></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-scale"><div class="ss-form-entry"><label class="ss-q-title" for="entry_9">車輛內設備
			</label>
			<label class="ss-q-help" for="entry_9"></label>
			<table border="0" cellpadding="5" cellspacing="0"><tbody><tr><td class="ss-scalenumbers"></td>
			<td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_9_1">1</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_9_2">2</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_9_3">3</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_9_4">4</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_9_5">5</label></td>
			<td class="ss-scalenumbers"></td></tr>
			<tr><td class="ss-scalerow ss-leftlabel">非常滿意</td>
			<td class="ss-scalerow"><input type="radio" name="entry.9.group" value="1" class="ss-q-radio" id="group_9_1"></td> <td class="ss-scalerow"><input type="radio" name="entry.9.group" value="2" class="ss-q-radio" id="group_9_2"></td> <td class="ss-scalerow"><input type="radio" name="entry.9.group" value="3" class="ss-q-radio" id="group_9_3"></td> <td class="ss-scalerow"><input type="radio" name="entry.9.group" value="4" class="ss-q-radio" id="group_9_4"></td> <td class="ss-scalerow"><input type="radio" name="entry.9.group" value="5" class="ss-q-radio" id="group_9_5"></td>
			<td class="ss-scalerow ss-rightlabel">非常不滿意</td></tr></tbody></table></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-select"><div class="ss-form-entry"><label class="ss-q-title" for="entry_24">車輛內設備
			</label>
			<label class="ss-q-help" for="entry_24"></label>
			<select name="entry.24.single" id="entry_24"><option value="測試">測試</option> <option value="rtss">rtss</option></select></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-section-header"><div class="ss-form-entry"><h2 class="ss-section-title">駕駛員服務態度</h2>
			<div class="ss-section-description ss-no-ignore-whitespace"></div>
			</div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-scale"><div class="ss-form-entry"><label class="ss-q-title" for="entry_11">服務態度
			</label>
			<label class="ss-q-help" for="entry_11"></label>
			<table border="0" cellpadding="5" cellspacing="0"><tbody><tr><td class="ss-scalenumbers"></td>
			<td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_11_1">1</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_11_2">2</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_11_3">3</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_11_4">4</label></td> <td class="ss-scalenumbers"><label class="ss-scalenumber" for="group_11_5">5</label></td>
			<td class="ss-scalenumbers"></td></tr>
			<tr><td class="ss-scalerow ss-leftlabel">非常滿意</td>
			<td class="ss-scalerow"><input type="radio" name="entry.11.group" value="1" class="ss-q-radio" id="group_11_1"></td> <td class="ss-scalerow"><input type="radio" name="entry.11.group" value="2" class="ss-q-radio" id="group_11_2"></td> <td class="ss-scalerow"><input type="radio" name="entry.11.group" value="3" class="ss-q-radio" id="group_11_3"></td> <td class="ss-scalerow"><input type="radio" name="entry.11.group" value="4" class="ss-q-radio" id="group_11_4"></td> <td class="ss-scalerow"><input type="radio" name="entry.11.group" value="5" class="ss-q-radio" id="group_11_5"></td>
			<td class="ss-scalerow ss-rightlabel">非常不滿意</td></tr></tbody></table></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-checkbox"><div class="ss-form-entry"><label class="ss-q-title" for="entry_12">是否有以下不良行為?
			</label>
			<label class="ss-q-help" for="entry_12"></label>
			<ul class="ss-choices"><li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="急煞車" class="ss-q-checkbox" id="group_12_1">
			急煞車</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="猛起步" class="ss-q-checkbox" id="group_12_2">
			猛起步</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="超速" class="ss-q-checkbox" id="group_12_3">
			超速</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="任意超車" class="ss-q-checkbox" id="group_12_4">
			任意超車</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="亂鳴喇叭" class="ss-q-checkbox" id="group_12_5">
			亂鳴喇叭</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="闖紅燈" class="ss-q-checkbox" id="group_12_6">
			闖紅燈</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="路口轉彎未減速" class="ss-q-checkbox" id="group_12_7">
			路口轉彎未減速</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="擅自改道" class="ss-q-checkbox" id="group_12_8">
			擅自改道</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="快車道上下乘客" class="ss-q-checkbox" id="group_12_9">
			快車道上下乘客</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="過站不停" class="ss-q-checkbox" id="group_12_10">
			過站不停</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="催促乘客上下車" class="ss-q-checkbox" id="group_12_11">
			催促乘客上下車</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.12.group" value="行車中任意閒談" class="ss-q-checkbox" id="group_12_12">
			行車中任意閒談</label></li>
			</ul></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-section-header"><div class="ss-form-entry"><h2 class="ss-section-title">基本資訊</h2>
			<div class="ss-section-description ss-no-ignore-whitespace"></div>
			</div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-radio"><div class="ss-form-entry"><label class="ss-q-title" for="entry_17">乘客年齡層
			</label>
			<label class="ss-q-help" for="entry_17"></label>
			<ul class="ss-choices"><li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.17.group" value="15歲以下" class="ss-q-radio" id="group_17_1">
			15歲以下</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.17.group" value="15~25歲" class="ss-q-radio" id="group_17_2">
			15~25歲</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.17.group" value="25~35歲" class="ss-q-radio" id="group_17_3">
			25~35歲</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.17.group" value="35~45歲" class="ss-q-radio" id="group_17_4">
			35~45歲</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.17.group" value="45歲以上" class="ss-q-radio" id="group_17_5">
			45歲以上</label></li>
			</ul></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-radio"><div class="ss-form-entry"><label class="ss-q-title" for="entry_18">乘客性別
			</label>
			<label class="ss-q-help" for="entry_18"></label>
			<ul class="ss-choices"><li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.18.group" value="男性" class="ss-q-radio" id="group_18_1">
			男性</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.18.group" value="女性" class="ss-q-radio" id="group_18_2">
			女性</label></li> <li class="ss-choice-item"><label class="ss-choice-label"><input type="radio" name="entry.18.group" value="其他" class="ss-q-radio" id="group_18_3">
			其他</label></li>
			</ul></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-paragraph-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_21">其他意見
			</label>
			<label class="ss-q-help" for="entry_21"></label>
			<textarea name="entry.21.single" rows="8" cols="75" class="ss-q-long" id="entry_21"></textarea></div></div></div>
			<br> <div class="errorbox-good">
			<div class="ss-item  ss-section-header"><div class="ss-form-entry"><h2 class="ss-section-title">感謝您的填答!!</h2>
			<div class="ss-section-description ss-no-ignore-whitespace">若有其他建議煩請告知，我們一定努力為您服務、處理，謝謝！

			</div>
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			<div class="ss-item ss-navigate"><div class="ss-form-entry">
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